Indonesia Mengglobal Mentor Application Form 2016

Indonesia Mengglobal Mentor Application Form 2016

Application Deadline - 17 June 2016, 20.00 WIB
Thank you for your interest in becoming a mentor. Mentors play important roles to help their mentees explore their school options, review their essays, provide tips on obtaining letters of recommendations and acing standardized tests, and ensure that their school applications are complete and of high quality. Mentors are required to commit around two hours per week during the period of the mentorship program. All of your answers will remain confidential. Once submitted, the application cannot be edited. Application will be received until 17 June 2016, 20.00 WIB, and selected mentors will be announced shortly afterwards.

All correspondence will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Information
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile no.*
E-mail*
Where the confirmation will be send to
Skype ID*
Google Plus ID
Mentees are applying to different levels of education: bachelor, masters, PhD. For application to what level of education are you willing to mentor?

BachelorMastersDoctoral (PhD)
For application to which field of education are you willing to mentor?

Arts & DesignMedicine/Health or related fieldsLaw/Politics/Public Administration or related fieldsMathematicsComputer ScienceNatural ScienceEngineeringArchitectureBusiness/Finance/Management or related fieldsEconomicsHumanities/Literature/Religious Studies or related fieldsDevelopment StudiesJournalism or Media StudiesOthers (please indicate in the empty space below)
For application to schools in which region are you willing to mentor?

USAUnited KingdomEurope excluding UKAsiaAustraliaOther (please indicate in the empty space below)
All applicants will be evaluated on the basis of fit to the selected mentees, academic and professional achievements, and indicated commitment to the mentorship program.
Have you ever participated in the past Indonesia Mengglobal Mentorship Program (as mentee or mentor)?

YesNo
The mentorship program will require time commitment of at least two hours per week for the period between July to September 2016. Scheduling is flexible and will adjust to mentor's location and activities. Will you be committed to allocate the required time including reviewing mentee's assignments and having one-on-one feedback sessions?*

YesNo
The mentor is expected to help up to 2 (two) mentees who are interested to apply to similar program (field of study), school, or scholarship program. Are you willing to assist more than one mentee? Note that if your answer is 'No', we would assign you only to one mentee.*

YesNo
Are you willing to accept and cooperate with any mentee who is assigned to you?*

YesNo
Most communication throughout the mentorship program will take place over emails, Skype sessions, or phone calls. Are you committed to prepare technical arrangements to enable such communications, including to pay for your own communication expenses?*

YesNo
Most communication throughout the mentorship program will be in English. Are you comfortable in using English verbally and in writing throughout the program?*

YesNo
School application is a personal process, and we respect the rights of privacy of the selected mentees regarding their application process. Are you willing to maintain the anonimity of the selected mentees throughout and after the program?*

YesNo
If you are selected as a mentor, are you willing to share your name for publication in Indonesia Mengglobal's articles or social media channels?*

YesNo
II. Academics
List all educational institutions that you are attending or have attended starting from undergraduate.
1
Name of institution*
Country*
Level*
Degree obtained*
Month started*
Month ended*
Major*
Specialization
Scholarships received
2
Name of institution
Country
Level
Degree obtained
Month started
Month ended
Major
Specialization
Scholarships received
3
Name of institution
Country
Level
Degree obtained
Month started
Month ended
Major
Specialization
Scholarships received
4
Name of institution
Country
Level
Degree obtained
Month started
Month ended
Major
Specialization
Scholarships received
Check all of the standardized tests that you have taken.

TOEFLIELTSGMATGRESATLSATMCATOther (please indicate)
III. Professional Experience
List your last three professional experience/internship/volunteer activities, starting from the most recent.
1
Name of institution
Position
Type of employment
Industry
Month started
Month ended
2
Name of institution
Position
Type of employment
Industry
Month started
Month ended
3
Name of institution
Position
Type of employment
Industry
Month started
Month ended
What is your motivation to apply as mentor for the Indonesia Mengglobal Mentorship Program 2016?

0/100
This year, our mentees have a chance to choose who their top mentors are based on the mentors' application forms submitted. In this field, you have a chance to convince the mentees why they should pick you as their mentor. Please explain on why you are a suitable mentor and how committed you are to helping mentees in all aspects of their school application.

0/200
Please share here any other information that you think might be relevant to the mentorship program.

0/100
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. You acknowledge that failure on your part to present accurate information may result in your withdrawal from the mentorship program.*
Thank you for submitting the form.
Should be Empty:

Indonesia Mengglobal Mentor Application Form 2016

I. Personal Information

II. Academics

III. Professional Experience